Summary
It is important to assess the artery of Adamkiewicz before repair of the thoraco abdominal aorta. Several studies have demonstrated the feasibility and advantages of noninvasive assessment of the artery of Adamkiewicz with MR angio graphy and CT angiography. Recent advanced in MR and CT angiography have led to changes in the detectability of this artery. In our experience, CT and/ or MR angiography are comparable or superior to conventional angiography in the evaluation of the artery of Adamkiewicz. CT and MR angiography can also diagnose the various types of the collateral circulations. MR angiography is superior for depiction of the artery of Adamkiewicz, especially when it arises from the false lumen of a dissecting aneurysm. CT angiography has a wide field of view and allows depiction of significant collateral pathways associated with internal thoracic artery and intercostals arteries. For the identification of the artery of Adamkiewicz, it is very important to distinguish between the artery and a vein.
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Yoshioka, K., Tanaka, R., Ehara, S. (2009). Noninvasive Diagnosis of the Artery of Adamkiewicz. In: Kazui, T., Takamoto, S. (eds) Advances in Understanding Aortic Diseases. Springer, Tokyo. https://doi.org/10.1007/978-4-431-99237-0_4
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DOI: https://doi.org/10.1007/978-4-431-99237-0_4
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